Explore Farming Workshop Registration Form

Explore Farming Workshop Registration Form

Contact Information

First Name

Last Name

Email address

Phone number

Street Address

City

State/Province

Zip/Postal Code

Country

About You

This information has no bearing on your acceptance into any of New Entry's programs, but we have to record all participant demographic information for grant reporting purposes.

Race/Ethnicity

Gender

Race/Ethnicity Other (Please describe)

In what country were you born?

What is your primary language?

Household size

Total household Income (before taxes)

Please select household size first

Are you disabled?

YesNo

Are you currently employed?

YesNo

Level of Education

Are you a U.S. veteran?

YesNo

Please rate your level of farm knowledge, education and experience

Advanced - significant training in agricultural production and significant farm management experienceIntermediate - informal training in agricultural production and moderate management experienceBeginner - limited agricultural training and hands-on experienceNew to farming - this is one of the first educational events I have attended regarding farming

Workshop Selections

Which of the following workshops are you registering for:

Explore Farming 6/28/23

How did you hear about this course?

What do you wish to learn in this course?

Registration indicator

Yes

Contact Information